Online Tutorials

There are quite a few places that offer free online tutorials if you are appropriately registered.

• Medline: Anaphylaxis Tutorial
  This is very American, but contains lots of good information. It is a useful overview of the clinical features, and the physiological features. 

• Doctors.org.uk Anaphylaxis Module
  This is a quick but effective case based tutorial on anaphylaxis. It includes a case from a child, and was a very useful over view.
  
  
• BMJ Learning
  There are no BMJ learning modules on anaphylaxis in children.
  
• Enlighten Me
  OSCE Assessment form - this is really useful as it emphasises what you need to know for each different "level" of knowledge.
  Case Study - a four year old with difficulty breathing needs your help...
  CEMPaedia - all about anaphylaxis
  Knowledge Bank - if it all goes wrong, what happens when your patient arrests? Mostly about big people - but a mention of a 16 year old.

Royal College of Paediatrics and Child Health

The RSPH has produced a guideline, which CEM has approved. Most of it doesn't affect us, as Emergency Providers - but it is again, a very useful summary that emphasises the importance of sending blood for tryptase levels.

I think most EDs complete most things here, except some of the educational facets of the guideline.

The guideline states we should:

• refer to an allergy clinic directly, via the GP using a local clinic or by checking the BSACI website
• provide a basic prevention and treatment package that includes:
•  basic avoidance advice based on the suspected trigger(s) 
• provision and training in the use of an adrenaline injector
• provide access to patient/parent/carer support group information

 Most emergency departments I know would admit a patient with a suspected anaphylactic reaction and assume that Paediatricians provided the above follow up.


Above frame from: http://www.rcpch.ac.uk/allergy/anaphylaxis.

Resus Council Guidelines

The resus council guidelines are what we should follow for every resuscitation. The guidelines are clear, and have a good summary of all the doses. They are very useful.

As you can see below, the resus council website has many good resources for anaphylaxis (adult and child).

• The anaphylaxis information including doses
• The Anaphylaxis slides - a ready made teaching session!
• The protocol
• Podcasts and discussion about anaphylaxis

Above frame from: http://www.resus.org.uk/indx/search.asp?zoom_sort=0&zoom_query=anaphylaxis&zoom_per_page=10&zoom_and=

Anaphylaxis

For all the blog posts written about anaphylaxis, please click here.

The CEM Curricular Guidelines are very clear about what you need to know about Anaphylaxis.It is difficult to separate adults from children.

I've made a summary of treatment, including the curricular knowledge. Please comment with any suggestions or additions:

For more anaphylaxis posts, start by looking here.